| NPI | 1326463399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15867) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH12074) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2023-09-06 |